Individual ProviderBruce WhitePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address970 NE 33rd Ter Unit 102, Homestead, FL 33033-5329(305) 242-9424PECOS EnrollmentBased on the most recent information from CMS, provider Bruce White does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1568715498Provider TypeIndividualFull NameWhite, BruceGenderMaleSole ProprietorYesEnumeration Date10/16/2012Last Updated10/16/2012Contact InformationPractice LocationPractice Address970 NE 33rd Ter Unit 102, Homestead, FL 33033-5329Phone(305) 242-9424FaxUnlisted FaxMailing LocationMailing Address970 NE 33rd Ter Unit 102, Homestead, FL 33033-5329PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT25518Florida